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General NPI Number Information
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NPI Number | 1710272554
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Entity Type | Individual
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Provider Name | WENDY LYNN SIEVERT NNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/09/2011
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 24 MILES CENTER WAY
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City | DAMARISCOTTA
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State | ME
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Zip | 04543-4067
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Country | US
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Telephone | 207-563-4252
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Fax | 207-810-4980
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Provider Business Mailing Address
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Address Line | 24 MILES CENTER WAY
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City | DAMARISCOTTA
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State | ME
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Zip | 04543-4067
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Country | US
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Telephone | 207-563-4252
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Fax | 207-810-4980
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LN0005X
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Taxonomy Name | Critical Care Neonatal Nurse Practitioner
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License Number | 4655
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363LN0005X
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Taxonomy Name | Critical Care Neonatal Nurse Practitioner
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License Number | CNP241809
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License Number State | ME
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